Discover and read the best of Twitter Threads about #nutritionmatters

Most recents (2)

Let's talk about Bundled Care of Pediatric Critical Care Patients: Guidelines and Implementation Part 2! We start with Dr. John Berkenbosch talking about choosing the right analgesic/sedation/NMB agent

#SCCM2022 #PedsICU
1/
Underlying disease may cause pain that we cannot well appreciate.

✅Enhancement of sleep should be a goal for its restoration and reduction of delirium.
✅IV opiates strong recommendation to manage moderate to severe pain
❓Need studies comparing opiates
#SCCM2022 #PedsICU
2/
Non-opioid adjunct
Consider use of non opioids both NSAIDS and APAP
Reduced pain scores, and opiate use
#SCCM2022 #PedsICU
3/
Read 14 tweets
Top 10 key expert opinion recommendations for nutrition support for the critically ill patient with #COVID19 via @ASPENWEB.
📽️
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These recs are based on indirect evidence (2016 SCCM/ASPEN and 2019 EPSEN Guidelines), direct evidence from limited COVID19 trials, and expert opinion. 2/
Key Rec #1:
-Use wt based equations to determine energy & protein needs
-15-20 kcals/kg/d; 1.2-2 g protein/kg
-Do not use indirect calorimeter as this increases contamination risk
-Monitor for refeeding syndrome (monitor phos, mag, potassium)
3/
Read 13 tweets

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